Christian House Home Health Ohio LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CHRISTIAN HOUSE HOME HEALTH OHIO LLC

Practice address

82 Garfield Ave
East Palestine, OH 44413-1928

Phone

(330) 886-0386

Fax

(330) 886-0385

NPI assigned

Apr 27, 2020

Last updated

Apr 27, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brenna Kristine Davis, CEAL

Title

Executive Director

Phone

(330) 886-0386

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912527342. Details of each certification follow.

• CCN 369071 Home health agency · Active · Details

Home health agency certification: CCN 369071

Legal name

CHRISTIAN HOUSE HOME HEALTH OHIO LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 20, 2014

Last certification

Mar 11, 2020

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Jan 19, 2010 in OH

Enrollment address

82 Garfield Ave
East Palestine, OH 44413-1928

Listed as

Christian House Homehealth Ohio, LLCCCN 369071 · All quality measures

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Mar 20, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karen Mae Christian, RN

  • Home Health Agency
  • East Palestine, OH
  • NPI 1710219670
  NPD

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jeffrey R Cohen, D.O.

  • Family Medicine Physician
  • East Palestine, OH
  • NPI 1447259353

  Home health agency

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1912527342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 GARFIELD AVE",
            "city": "EAST PALESTINE",
            "state": "OH",
            "postal_code": "444131928",
            "telephone_number": "330-886-0386",
            "fax_number": "330-886-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 GARFIELD AVE",
            "city": "EAST PALESTINE",
            "state": "OH",
            "postal_code": "444131928",
            "telephone_number": "330-886-0386",
            "fax_number": "330-886-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN HOUSE HOME HEALTH OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "BRENNA",
        "authorized_official_middle_name": "KRISTINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "330-886-0386",
        "authorized_official_credential": "CEAL"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Antinopoulos
• Laura Eileen Baker, PTA
• Nanci Joyce Brooks-Koehler, CRNP
• Madison Anne Brown
• Kelsey Canonge
• Christian House Home Health Ohio LLC
• Christian House LLC
• Karen Mae Christian, RN
• City of East Palestine Office of Treasurer
• Jeffrey R Cohen, D.O.

• Home Health Agency in East Palestine, OH
• Providers in East Palestine, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.